OrganizationActive
Cpm Pharmacy LLC
NPI 1790106458 · Community/Retail Pharmacy · Austell, GA
Provider details
- NPI number
- 1790106458
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kati Gainous, Pharmacy Program Administrator(925) 621-2900
- License
- PHRE009976 (GA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3870 Medical Park Dr
Austell, GA 30106-1110
Phone: (678) 564-2233
Fax: (678) 401-4245
Street-level locationGet directions
Mailing address
C/O Advanced Rx Management
Pleasanton, CA 94588
Other names (DBA / former)
- Doing business as
- Advanced Rx Pharmacy 034
Registry dates
- Enumerated
- 2013-12-26
- Last updated
- 2015-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.